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复杂性肠系膜上动脉瘤开放手术1例报道

目的总结开放手术治疗1例复杂性肠系膜上动脉瘤（superior mesenteric artery aneurysm，SMAA）的体会。 方法报道1例罕见的复杂性肠系膜上动脉瘤（superior mesenteric artery aneurysm，SMAA）患者，分析其诊断及治疗方案。结果患者为年轻女性，主要表现为逐渐加重的腹部疼痛，腹部CT血管成像检查示肠系膜上动脉中段多发动脉瘤，最大者3.4 cm×3.3 cm，累及3条主要分支，动脉瘤局部压迫胰腺，致使胰腺向前、向外移位。综合患者临床表现、解剖条件和生存预期，最终实施开放性SMAA切除+人工血管重建术。术后患者恢复良好，无肠缺血坏死，大便隐血阴性。结论SMAA患者术前应综合考虑和评估，选择最优的治疗策略。当SMAA累及多个主要分支、腔内治疗无法保证术后效果时，开放手术仍是一种行之有效的治疗方法。

行全腔内治疗的感染性胸腹主动脉假性动脉瘤1例报道

GORE VIABAHN VBX balloon-expandable endovascular overlapping stent combined with VIABAHN overlapping stent for the successful treatment of long-segment iliac artery occlusive disease: a case report

Main iliac artery disease is a common lesion that leads to arteriosclerosis and occlusion of the lower limbs. Effective treatment of complex main iliac artery disease has always been a difficult problem. The author’s team successfully treated a patient with long segment iliac artery occlusive disease from the left common iliac artery to the opening of the left femoral artery (118 mm) with Gore viabahn VBX balloon dilated intravascular covered stent and viabahn covered stent, and be reported.